Heller Myotomy with Dor Fundoplication Surgical Footage and Animation for the Treatment of Achalasia

https://www.FauquierENT.net - Both animation and actual surgical footage (1:46) of a Heller myotomy with Dor fundoplication are shown in this video. In patients suffering from achalasia, the LES (lower esophageal sphincter) remains abnormally closed preventing food and liquids from easily passing into the stomach, especially given weak or even absent esophageal peristalsis. Food is essentially falling by gravity after swallowing. Given the delay in food passage into the stomach, the lower esophagus dilates. Symptoms stem from food failing to clear the LES leading to food regurgitation, difficulty swallowing, and even chest pain. Interestingly, achalasia symptoms are often confused with reflux.

Should conservative medical management fail to resolve symptoms, a Heller myotomy can be performed to widely open the LES by incising it in order to make it easier for food to fall into the stomach. Esophageal peristalsis is not able to be restored but resistance to food passage can at least be reduced surgically. Because the LES is wide open afterwards, the patient is at risk for significant reflux. The Dor fundoplication or partial anterior stomach wrap, is a gentle way to minimize risk of reflux after a Heller myotomy.

This video was created with Dr. Kevin Gillian at the Virginia Heartburn and Hernia Institute. https://virginiahernia.com

Chapters:
Intro (0:00)
Reflux (0:21)
Achalasia (0:35)
Heller Myotomy (1:06)
Dor Fundoplication (1:28)
Actual Surgical Footage (1:46)

For more information on surgical reflux control:
https://www.FauquierENT.net/refluxsurgery.htm

For info on the Nissen Fundoplication or 260° stomach wrap:
https://youtu.be/bu3IOZcBeHo

For info on the Toupet Fundoplication or 270° stomach wrap:
https://youtu.be/_r36LXAcOtk

More info on reflux:
https://www.FauquierENT.net/lpr.htm

More info on medications to treat reflux:
https://www.FauquierENT.net/refluxmeds.htm

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Animation by Nathan Devery

Music Background:
Air Prelude by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/
Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100337
Artist: http://incompetech.com/

#achalasia #dysphagia #hellermyotomy #dorfundoplication #medicalanimation

Видео Heller Myotomy with Dor Fundoplication Surgical Footage and Animation for the Treatment of Achalasia канала Fauquier ENT